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Purpose: The purpose of this study was to determine the dietary, anthropometric, blood-lipid, and performance
patterns of university-level American football players attempting to increase body mass during 8 wk of training.
Methods: Three-day diet records, body composition (DEXA scan), blood lipids, and performance measures
were collected in redshirt football players (N = 15, age 18.5 ± 0.6 yr) early season and after 8 wk of in-season
training. Results: There was an increase (p < .05) from early-season to postseason testing for reported energy
(+45%), carbohydrate (+82%), and protein (+29%) intakes and no change in the intake of fat. Fat intake was
41% of energy at the early-season test and 32% of energy at the postseason test. Increases (p < .05 for all)
in performance measures, lean mass (70.5 ± 7.7–71.8 ± 7.7 kg), fat mass (15.9 ± 6.2–17.3 ± 6.8 kg), plasma
total cholesterol (193.5 ± 32.4–222.6 ± 40.0 mg/dl), and low-density lipoproteins (LDL; 92.7 ± 32.7–124.5
± 34.7 mg/dl) were measured. No changes were measured in triglycerides, very-low-density lipoproteins, or
high-density lipoproteins. Conclusion: Increases in strength, power, speed, total body mass, muscle mass,
and fat mass were measured. Cholesterol and LDL levels increased during the study to levels associated with
higher risk for cardiovascular disease. It is possible that this is a temporary phenomenon, but it is cause for
concern and an indication that dietary education to promote weight gain in a manner less likely to adversely
affect the lipid profile is warranted.
Players of American football face a number of nutri- athletes training at moderate to high intensities for up
tional challenges. To gain weight, many of these athletes to 3 hr/day are for at least 6–10 g of carbohydrate per
consume as much food as possible without receiving kilogram of body mass per day (g · kg–1 · day–1), no more
nutritional counseling from a qualified source (Cole et than 20–35% of calories from fat, and no more than
al., 2005; Duellman, Lukaszuk, Prawitz, & Brandenburg, 10% of the total daily caloric intake from saturated fat
2008; Froiland, Koszewski, Hingst, & Kopecky, 2004; (Burke, Hawley, Wong, & Jeukendrup, 2011; Rodriguez,
Jonnalagadda, Rosenbloom, & Skinner, 2001; Juzwiak & DiMarco, & Langley, 2009). The protein requirements for
Ancona-Lopez, 2004; Kaiser et al., 2008). The long-term athletes in strength and power sports are within the range
consequences of their eating habits are overlooked to meet of 1.4–1.8 g · kg–1 · day–1 (Lemon, 1995; Lemon, Tarnop-
the short-term goal of weight gain, athletic performance, olsky, MacDougall, & Atkinson, 1992; Tarnopolsky et al.,
and the ability to play at the college level (Applegate & 1992; Tarnopolsky, MacDougall, & Atkinson, 1988). This
Grivetti, 1997; Cole et al., 2005; Harp & Hecht, 2005; requirement is roughly twice the recommended dietary
Jonnalagadda et al., 2001; Rankin, 2002). Coaches and allowance for the average individual, and many athletes
teammates in the athletic community encourage the use have turned to protein supplements to meet or exceed
of protein supplementation to support the development of this need (Applegate & Grivetti, 1997). Supplements are
lean body mass, strength, speed, and skill (Phillips, 2004). expensive and may or may not be needed to meet dietary
Many individuals are unclear as to what their nutri- recommendations. Furthermore, American football play-
tion requirements are, and this may lead to unhealthy ers, particularly incoming freshmen, are encouraged to
and or unnecessary dietary practices (Bovill, Tharion, increase their weight and lean body mass. These athletes
& Lieberman, 2003). The current recommendations for may focus on calories rather than nutrients, which may
favor a higher fat intake. In addition, freshmen athletes
generally live on campus and are limited to the food
Kirwan, Kordick, McFarland, Lancaster, and Miles are with the choices offered by campus food service. Their diets are
Dept. of Health and Human Development, Montana State Uni- often low in fruits and vegetables and high in fatty food
versity, Bozeman, MT. Clark is with the Intercollegiate Athletics choices and simple carbohydrates (Cole et al., 2005;
Dept., The Pennsylvania State University, State College, PA. Jonnalagadda et al., 2001).
444
Dietary, Anthropometric, Blood-Lipid, and Performance Patterns 445
laboratory techniques using a VitrosDT60 Ektachem ana- sion 4.1.0, Axxya Systems, Stafford, TX). The food ser-
lyzer (Eastman Kodak Co., Rochester, NY) and the pro- vice department offered the research team the nutritional
cedures described by Lie, Schmitz, Pierre, and Gochman content of the foods they served on these occasions. With
(1976). LDL cholesterol concentrations were estimated this information, the research team was able to add the
using the Friedewald equation (Friedewald et al. 1972). individual food items into the Nutritionist Pro database
for dietary analysis.
Anthropometric and Body-Composition
Measurements Statistical Analysis
Nonfasting anthropometric measurements (height and Descriptive data are given as means and standard devia-
weight) were taken during Week 1 of training. Body- tions. Paired t tests were used to compare early-season
composition measurements were collected by DEXA and postseason measurements. Statistical significance
(Hologic Delphi W DEXA scanner with the GDR System was set at p = .05.
Software Version 11.1 for use with Microsoft Windows)
by the same certified radiology technologist during
Weeks 2–3 and Weeks 11–12. The technician modified
Results
each participant’s body position with the use of a foot Subject Description
restraint and foam blocks. The test–retest coefficient of
variation for this specific DEXA machine was not avail- and Anthropometric Data
able. Owing to coordination of scheduling for the DEXA Participants (N = 15) were 18.5 ± 0.6 years of age, 187.3
scanning facility and the training and class schedules ± 6.9 cm tall, and 93.8 ± 15.3 kg in mass. Body-mass
of the participants, time of day and food and beverage index (BMI) was 26.6 ± 3.4 kg/m2.
intake were not controlled. Data from the DEXA scan
included bone mineral content, fat, lean mass, lean plus
Dietary Intake
bone mineral content, and total mass. All results were
provided in grams and by body region. Regions included All but 1 participant completed both early-season and
left and right arms and legs, trunk, and head. postseason 3-day diet records. The nutritional content
of the diet records is presented in Table 1. There was a
Dietary Assessment significant increase (p < .05) from early season to postsea-
son for reported energy (+ 45%), carbohydrate (+ 82%),
Incoming freshmen and redshirt athletes live on campus and protein (+ 29%) intakes and no change in the intake
and consume meals through the university food service of fat. Fat intake was 41% of energy at the early-season
in the dining halls. Three meals are provided by food test and 32% of energy at the postseason test.
service each day. Three-day diet records were devel- Estimated energy requirements for each subject
oped to coincide with what food service was serving for compared with their actual early-season and postseason
breakfast, lunch, and dinner during the specified dates energy intake are presented in Figure 1. A comparison
to increase ease of usability for study participants. Food of the estimated protein requirements versus protein
records provided a list of all food and beverages available intake early season and postseason is presented in Figure
at mealtimes. In addition, the portion size of the serving 2. The average amount of protein consumed was 1.8 g/
implement used to serve each food was included. For kg of body weight at both early-season and postseason
example, hash browns were served for breakfast in a time points. The estimated amount of protein consumed
1/2-cup serving-size ladle. Participants would check off if ranged from 0.9 to 2.8 g/kg during the preliminary diet
they had consumed this food and how many scoops they record and from 0.9 to 2.9 g/kg in the postseason diet
received, each being 1/2 cup. All participants received record. Individually, 9 of the 15 participants consumed at
training on how to accurately measure portion sizes least 1.6 g/kg of protein. The 6 subjects consuming less
and complete a 3-day diet record. Diet-record training than 1.6 g/kg of protein tended to weigh less than those
included education on the various-sized serving spoons consuming 1.6 g/kg of protein or more. The amount of
and ladles used by the campus food service department. fat consumed per day ranged from 122 to 193 g in the
Additional space was provided on diet records for meals preliminary diet record and from 136 to 260 g in the
and snacks consumed outside of the dining halls. This was postseason diet record.
done to make recording of food intake easier for partici-
pants and to increase the likelihood of full reporting. Two Performance Measures
3-day diet records were collected by the same researcher
(R.K.). Incomplete or unclear diet records were flagged, Performance variables are presented in Table 2. Two
and athletes were immediately contacted to clarify the subjects were excluded from the analysis due to a sport-
provided information. Two additional researchers (D.L. related injury and an inability to complete the testing
and L.K.K.) were responsible for entering data into the protocol correctly. Overall, there was a significant
nutrient-analysis program. Diet records were analyzed improvement (p < .05) in vertical-jump, hang-clean,
using the dietary-analysis program Nutritionist Pro (ver- back-squat, and bench-press performance.
Table 1 Dietary Composition of Participants
(N = 14) Based on 3-Day Diet Records Collected
Early Season and Postseason, M ± SD
Dietary component
Energy (kcal)
early season 3,518 ± 849
postseason 5,115 ± 2,391*
Carbohydrates (g/day)
early season 353 ± 118
postseason 643 ± 414*
Protein (g/day)
early season 169 ± 52
postseason 217 ± 91*
Total fat (g/day)
early season 160 ± 45
postseason 178 ± 60
Cholesterol (mg/day)
early season 757 ± 333
postseason 1,004 ± 504
Dietary fiber (g/day) Figure 2 — Estimated protein requirements compared with
estimated intakes from early-season and postseason 3-day diet
early season 19 ± 8 records, M ± SD.
postseason 18 ± 8
*p < .05 compared with early-season training.
Table 2 Early-Season and Postseason
Performance Measures (N = 13), M ± SD
Performance measure
Vertical jump (cm)
early season 66.0 ± 8.1
postseason 68.8 ± 7.4*
10-yd (~9-m) spring (s)
early season 1.86 ± 0.08
postseason 1.85 ± 0.07
Hang clean (kg)
early season 228.3 ± 19.0
postseason 245.9 ± 15.4*
Back squat (kg)
early season 351.1 ± 26.9
postseason 382.0 ± 37.5*
Bench press (kg)
early season 112.1 ± 12.9
postseason 117.4 ± 14.3*
*p < .05 compared with early-season training.
Figure 1 — Estimated energy requirements compared with
estimated intakes from early-season and postseason 3-day diet
records, M ± SD.
447
448 Kirwan et al.
per day. Within the 8-week study, participants increased changes could be related to positive energy balance and a
body mass from 96 kg early season to 99 kg postseason. decrease in intensity of training midseason. The athletes
Thus, there is evidence that participants exceeded their in the current study gained fat and a modest amount of
caloric needs. lean mass during the 8 weeks between measurements,
Incoming American redshirt football athletes often and our findings are comparable in magnitude. While
find themselves away from home for the first time. They the duration of our study was shorter, the 3-kg gain in
have greater access to high-calorie, high-fat foods and are total body mass, the estimated 1-kg increase in lean body
encouraged to gain weight to enhance performance with mass, and the increases in strength measured from early
the football program. The reported increase in energy to postseason suggest that the dietary practices of the
intake over the course of the study could be related athletes in our study appear to have been sufficient for
to increased comfort with the 3-day diet records from the maintenance, and perhaps augmentation, of muscle
early-season to postseason data collection. In addition, mass during the course of a competitive season. To pro-
increased energy intake may be temporary while these mote lean body mass and improve performance, it was
athletes attempt to increase their lean body mass while recommended that weight-control practices of nutrition
adapting to the university level of play. education and strength and conditioning programming
American football athletes have been identified as be improved.
an at-risk population for cardiovascular disease (CVD; Today’s football athletes have a greater body mass
Kaiser et al., 2008), elevated blood pressure, and sleep- than players of the past. Kaiser et al. (2008) suggest that
disordered breathing (Harp & Hecht, 2005) due to their the increase in body mass has a high correlation with rule
increased body mass and size. The philosophy of “bigger changes observed in the sport. Rules that have encour-
is better” has become commonplace in the sport of foot- aged an increase in body size include the restriction of
ball. Noel, VanHeest, Zaneteas, and Rodgers (2003) suggest below-the-waist blocking techniques. Thus, offensive
there is a point where increasing body mass will no longer linemen have been expected to gain mass to make up
increase lean muscle mass but, rather, will increase body for restricted techniques. The average BMI for par-
fat. The diminished fat-free mass will ultimately decrease ticipants in this study was greater than 26 kg/m2. At this
performance levels while putting these athletes at a higher measurement, all included athletes would be considered
risk for developing health problems such as obesity, overweight or at increased risk of disease (American
diabetes, and cardiovascular disease later in life. An College of Sports Medicine, 2000). The use of the BMI
increase in muscle mass improves overall performance measurement is not recommended for football players,
by enhancing strength, power, and speed. According to or athletic individuals, due to their increased lean body
Buell et al. (2008), many athletes are indifferent to the mass. However, Baron, Hein, Lehman, and Gersic (2012)
composition of the weight gained and often experience found that retired professional National Football League
increased abdominal adipose tissue. It was also noted players with a playing-time BMI ≥30 kg/m2 had 2 times
that the overall body size increased as the NCAA level the risk of CVD mortality.
of play increased from Division III schools to Division Total percent of dietary calories from fat was
I. The average range of body fat in men 20–29 years of 30–54% for early-season and 20–51% for postseason
age is 14–19%. Individuals with less than 12% body fat diet records. The high proportion of fat, high cholesterol
are above average in proportion of lean body mass, and intake, and low fiber intake reported by participants is
those with greater than 20% body fat are below average consistent with high dietary intake of meat and cheese
in proportion of lean body mass (American College of and other dairy products. Research related to diets rich
Sports Medicine, 2000). This group increased both lean in total fat, saturated fat, cholesterol, and trans fats shows
and fat mass during the study but had proportionally an increased risk of CVD (Flock & Kris-Etherton, 2011).
greater increases in fat mass. Percent body fat increased LDL increased significantly in the group, with an aver-
from 17% to 18% from early-season to postseason age rise from near optimal (92.7 ± 32.7 mg/dl; 11 of 14
measure. Athletes involved in this study fell within the [79%]) to near/above optimal (124.5 ± 34.7 mg/dl; 12
average range of percent body fat. While recent research of 14 [86%]; National Cholesterol Education Program,
suggests that the results of this study may have been more 2002). Similarly, the mean postseason total cholesterol
accurately determined if we had been able to make the concentration (222.6 ± 40.0 mg/dl; 11 of 14 [79%]) falls
determinations in the fasted state (Nana, Slater, Hopkins, within the borderline-high total cholesterol classification
& Burke, 2012), participants gained about 3 kg of body range. Individuals in an overfed state will experience
mass on average, and the direction of the change mea- changes in their blood-lipid profile. After only 6 days of
sured via DEXA scans is consistent with caloric excess overfeeding with isocaloric diets containing long-chain
resulting in gains of both fat and lean mass. triglycerides, medium-chain triglycerides, or fish oil, Hill
Harley, Hind, and O’hara (2011) observed a signifi- et al. (1990) observed changes in fasting triglycerides,
cant increase in body fat of about 1% and a significant plasma LDL, and HDL levels. Thus, the increase in cho-
decrease in lean body mass of 1–2% with no significant lesterol and LDL is likely to be a function of overfeeding
change in body mass in 20 English Super League rugby to gain weight in this population of athletes and may
players with the use of three DEXA scans over the be a temporary response. Triglyceride levels decreased
course of a 7-month season. They hypothesized that these in both groups, but changes were not significant. HDL
450 Kirwan et al.
cholesterol levels for both groups were within the high- References
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